| Zarate Medical Group Pa | |
|
1200 Brooklyn Ave Ste 310 San Antonio TX 78212-4810 | |
| (210) 587-8787 | |
| (210) 388-0239 |
| Full Name | Zarate Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Brooklyn Ave Ste 310, San Antonio, Texas |
| Authorized Official Name and Position | Rudolfo P Zarate (PRESIDENT) |
| Authorized Official Contact | 2105878787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zarate Medical Group Pa 24014 Gran Palacio San Antonio TX 78261-2766 Ph: (210) 587-8787 | Zarate Medical Group Pa 1200 Brooklyn Ave Ste 310 San Antonio TX 78212-4810 Ph: (210) 587-8787 |
| NPI Number | 1285761809 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 10/20/2020 |
| Medicare PECOS PAC ID | 0547276743 |
|---|---|
| Medicare Enrollment ID | O20060224000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285761809 | NPI | - | NPPES |
| 179126101 | Medicaid | TX | |
| 00W262 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M1415 (Texas) | Primary |
| Provider Name | Jocelyn Villan Zarate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427054055 PECOS PAC ID: 8224054176 Enrollment ID: I20060224000599 |
| Provider Name | Rudolfo Pedraz Zarate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770589384 PECOS PAC ID: 7214953157 Enrollment ID: I20060323000512 |
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